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Organization
ENDOSCOPY CENTER OF SOUTHEAST MASSACHUSETTS LLC
Active
Organization
ENDOSCOPY CENTER OF SOUTHEAST MASSACHUSETTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA M ISSA (OFFICE MANAGER)
(508) 588-3174
Entity
Organization
Contact information
Practice address
1 PEARL ST, ST 1200, BROCKTON, MA 02301-2864
(508) 588-3174
(508) 588-3179
Mailing address
1 PEARL ST, ST 1800, BROCKTON, MA 02301-2864
(508) 588-3174
(508) 588-3179
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
63138
MA
Other
Enumeration date
08/30/2006
Last updated
03/05/2013
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